| NPI | 1740604735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RALPH ELBON Owner/President 304-591-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WV UD000305954001) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |